go back

North Carolina rates for HCPCS 21261

Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,311.31 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,511.89 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,884.03 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $5,370.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $5,623.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,019.95 / $4,570.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,890.45 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $11,748.98 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,511.89 / $4,786.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $33,113.11 / $33,113.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,620.87 / $18,620.87 / $20,417.38